person
Dr. Cassandra A Mahan-richards, MD
Allergy Physician in Grand Terrace, California
NPI 1093767782

Cassandra A Mahan-richards is an Allergy Physician based in Spokane, CA and is specialized in Allergy. Cassandra A Mahan-richards practices in Grand Terrace, CA and has the professional credentials of MD. The NPI Number for Cassandra A Mahan-richards is 1093767782 and holds a License No. G53986 (California).

The current practice location address for Cassandra A Mahan-richards is 11980 Mount Vernon Ave, Grand Terrace, CA and can be reached out via phone at 909-864-1097 and via fax at 951-225-6879.

Location: 11980 Mount Vernon Ave, Grand Terrace, CA, 99220-3649
person
Provider Profile Details
NPI Number
1093767782
Provider Name
Cassandra A Mahan-richards
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
11980 Mount Vernon Ave, Grand Terrace, CA, 99220-3649
Phone Number
909-864-1097
Fax Number
951-225-6879
Provider Enumeration Date
05/17/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
MD60286895 01 WA WASHINGTON STATE LICENSE
00G646250 05 CA
institution
Provider Business Practice Location Address Details
Address
11980 Mount Vernon Ave
City
State
Zip
92313-5172
Phone Number
909-864-1097
Fax Number
951-225-6879
person
Provider Business Mailing Address Details
Address
11980 Mount Vernon Ave
City
State
Zip
92313-5172
Phone Number
909-864-1097
Fax Number
951-225-6879
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Allergy & Immunology
Speciality
Allergy
Taxonomy
License No.
G53986 (California)
Definition
Definition to come...
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